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49. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPÄRC), 42. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen e. V. (DGPRÄC), 16. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen e. V. (VDÄPC)

29.09. - 01.10.2011, Innsbruck

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Dom-Osteotomie am distalen Radius

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  • author Werner Girsch - Orthopädisches Spital Speising, Kinderabteilung, Wien
  • Gert Petje - Orthopädisches Spital Speising, Kinderabteilung, Wien
  • Christoph Karner - Orthopädisches Spital Speising, Kinderabteilung, Wien

Österreichische Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie. Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 49. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPÄRC), 42. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 16. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Innsbruck, 29.09.-01.10.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11dgpraecV15

doi: 10.3205/11dgpraec015, urn:nbn:de:0183-11dgpraec0155

Published: September 27, 2011

© 2011 Girsch et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Einleitung: In 2006 Harley and Carter presented their promising results from distal radius dome osteotomy for treatment of Madelung´s deformity. As the technique allows to adjust the malformated distal radius - not anatomically - but optimally to the deformed carpus, the question arised whether the technique could serve as an appropriate correction tool for secondary correction of complex deformities of the forearm.

Material und Methoden: In five patients, suffering from proximal radioulnar synostosis with hyperpronation of the foream (BL 3a), complex soft tissue forearm-deformity following congenital scarring (BM 8a), multiple exostoses disease (HF, 10a), posttraumatic deformity of the distal radius including shortening of the forearm (NR 14a, OeS 15a), dome shaped osteotomy of the distal radius was performed as a part of the overall concept for correction, which included other osteotomies in one case and osteodistraction with ilizarov-device in the other cases.

Ergebnisse: In all cases dome osteotomy allowed correction of axis of the distal radius in both planes to nearby normal, optimal values as a prerequisite for axial elongation of one or both forearm bones. ROM of the wrist was preserved or increased by the procedures.

Schlussfolgerung: According to Harley and Carter we could achieve excellent results using the distal dome osteotomy for correction of Madelung´s deformity, in mild and very severe cases. Moreover the dome osteotomy could proof its value in correction of complex deformities of the forearm